Individual provider Active NPI

Diogenes Antipas Almonte, MD

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1861606014
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
123004 Issued in NY
Practice address
608 Grand Street
Brooklyn, NY 11211
Phone
(718) 388-8400
Fax
(718) 486-0277
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 123004 NY Primary

Addresses

Primary practice location

608 Grand Street
Brooklyn, NY 11211

Mailing address

381 5TH St
Brooklyn, NY 11215-2806
Phone (718) 852-5252

Other identifiers 1

IdentifierTypeStateIssuer
00231030MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160125000526 NY Practitioner - Pediatric MedicinePractitioner - General Practice 6204139314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Practice
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prominis Medical Services PCGroup PAC ID 9537124441, 43 clinicians

Practice addresses (Care Compare)

228 Bushwick Ave
Suite 1a
Brooklyn, NY 11206-2378
Phone (718) 963-2383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
123004NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prominis Medical Services PC CurrentSince Jan 4, 2016 Accepting new patients

Locations

608 Grand St
Brooklyn, NY 11211
Phone (718) 388-8400

332 DeKalb Ave
Brooklyn, NY 11205
Phone 7185825252101

228 Bushwick Ave
Ste 1A
Brooklyn, NY 11206
Phone (718) 388-8400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1861606014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152806",
            "telephone_number": "718-852-5252",
            "fax_number": "718-802-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 GRAND STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-388-8400",
            "fax_number": "718-486-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMONTE",
        "first_name": "DIOGENES",
        "middle_name": "ANTIPAS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "123004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00231030",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.